Acute coronary syndrome, AWMI, Primary PCI to LAD, PCI within first hour of arrival discharge within 48 hours. | Practical Interventional Cardiology
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A 62 year-old woman with history of CABG (LIMA to LAD) presents with chest pain and ST segment elevation. Angiography shows an ostial LAD stenosis (panel A), a stenosis at the LIMA-LAD anastomosis (B & C), retrograde flow through the LIMA (C), and an occluded left subclavian artery (D). How would you manage this patient? A. Percutaneous intervention of the native LAD across the LIMA-to-LAD anastomotic site B. Vascular surgery to open the left subclavian artery C. Repeat bypass surgery D. No inte
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